Create A Desktop Homepage, Web Form and Create Unique URL Page For Our Existing Website

We need to create a desktop site that will allow users to input information that will create a unique url page with this information. The information collected will be displayed on a desktop page and inserted into our mobile website script on the unique url Development Description: 1) Design a homepage with a web form 2) Include these fields in the web form a) Challenge Title - This will be used to create a unique url b) Optional Text Description - Collect 140 character description that will be inserted into the mobile site script c) Optional Logo - users can upload a logo which will be resized and inserted into the mobile site script d) Optional Date Range - Select start time with calendar and end time with calendar when the mobile site will be active e) Optional Reoccurring - Seven options - Monday, Tuesday, Wednesday, Thursday, Friday, Saturday and Sunday f) Optional Privacy - Option to set page to public or private (password required to view) g) Optional Input Fields - Full Name, Email, Other 3) Create a unique url and insert information above into our mobile page script 4) Create a desktop page for the unique url that displays the information collected above and the user information collected in point G I would like to see a sample the homepage and web form (with the fields above) in a simple design like this... [login to view URL] before I award the project.